Basic Information
| Provider Information | |||||||||
| NPI: | 1922089184 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SNYDER | ||||||||
| FirstName: | SUE | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 42 CAPE RD | ||||||||
| Address2: | |||||||||
| City: | MILFORD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017573292 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5084780555 | ||||||||
| FaxNumber: | 5084735088 | ||||||||
| Practice Location | |||||||||
| Address1: | 42 CAPE RD | ||||||||
| Address2: | |||||||||
| City: | MILFORD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017573292 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5084780555 | ||||||||
| FaxNumber: | 5084735088 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | MA | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.